Systematic review of reproductive outcomes after High Intensity Focused Ultrasound treatment of uterine fibroids.

European Journal of Radiology
Kimberley J AnneveldtMartijn F Boomsma

Abstract

Myomectomy is currently the gold standard for the treatment of uterine fibroids in women who desire pregnancy. However, this surgical fibroid removal has a long convalescence. Promising alternatives may be non-invasive High Intensity Focused Ultrasound (HIFU) under either MRI (MR-HIFU) or ultrasound guidance (USgHIFU). In this systematic review, an overview is provided of reproductive outcomes after these two relatively new ablation techniques. A systematic literature search was performed to identify studies reporting reproductive outcomes after HIFU treatment of fibroids. Only peer reviewed, full papers were included. Outcomes included pregnancy-, live-birth- miscarriage and caesarian section rate, time to conceive, reported complications, and possible prognostic factors. In total 21 studies were included. Fourteen studies reported 124 pregnancies after MR-HIFU. Two placenta previas and no uterus ruptures were reported. Pregnancy rates were only retrospectively collected and ranged between 7% and 36%. Miscarriage rate in the oldest and largest prospective registry was 39%. After USgHIFU 366 pregnancies were reported with one fetal intrauterine death, six placenta previas and no uterus ruptures. The only prospective study repor...Continue Reading

References

Dec 21, 2006·Journal of Perinatology : Official Journal of the California Perinatal Association·L P Gavrilova-JordanB S Gostout
Jun 30, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Y MoritaH Ohashi
Mar 15, 2008·Fertility and Sterility·Elizabeth A PrittsDavid L Olive
Jul 22, 2009·PLoS Medicine·David MoherUNKNOWN PRISMA Group
Oct 24, 2009·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K FunakiK Sawada
Mar 12, 2011·The Journal of Obstetrics and Gynaecology Research·Summia ZaherLesley Regan
May 17, 2011·Fertility and Sterility·Esther V A BouwsmaElizabeth A Stewart
Apr 3, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Juan QinZhi-Biao Wang
Jul 28, 2013·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Vincent Y T Cheung
May 24, 2015·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Belina Carranza-MamaneUNKNOWN SPECIAL CONTRIBUTOR
Sep 15, 2015·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Anne C ThiburceHervé Trillaud
Dec 17, 2015·Clinical Obstetrics and Gynecology·Dima Ezzedine, Errol R Norwitz
Jun 24, 2016·Nature Reviews. Disease Primers·Elizabeth A StewartBeverley Vollenhoven
Jan 23, 2017·Journal of Minimally Invasive Gynecology·Julia KeltzScott Chudnoff
Sep 1, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·M ZouY Xiong
Sep 12, 2017·The Journal of Obstetrics and Gynaecology Research·Giusi Natalia MilazzoDonatella Caserta
Oct 21, 2017·Archives of Gynecology and Obstetrics·K KarlsenP Ravn
Nov 4, 2017·Seminars in Reproductive Medicine·Rachel M WhynottJames H Segars
Dec 28, 2017·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Min HeLian Zhang
Jul 3, 2018·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Yi WangYong-Hua Xu
Oct 26, 2018·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Xin LiuJie Tang
Nov 6, 2018·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Z M Gambacorti-PasseriniA Locatelli
Jan 11, 2019·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·Florian SiedekHolger Grüll
Jan 11, 2019·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·Florian SiedekHolger Grüll
Jun 5, 2019·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Tomasz ŁozińskiMichał Ciebiera
Nov 5, 2019·American Journal of Obstetrics and Gynecology·Shannon K Laughlin-TommasoEvan Myers
Nov 27, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·George A VilosJohn Thiel
Dec 11, 2019·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Kamilla KarlsenPernille Ravn
Mar 27, 2020·Diagnostic and Interventional Radiology : Official Journal of the Turkish Society of Radiology·Bilgin KeserciMohd Shafie Abdullah
Jan 23, 2021·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Zhaoying JiangXilei Li

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